NPI | 1144334368 |
---|---|
Former Name | MARICEL A. ISIDRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3527) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3527) |
163W00000X Registered Nurse (Licence: CA 539231) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2017-01-18 |